Organization
COMPREHENSIVE PAIN REHAB OF SOUTHERN INDIANA LLC
Active
Other names
Pain Management Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DERK FRASIER (OWNER)
(812) 376-7246
Entity
Organization
Contact information
Practice address
2920 MCINTIRE DRIVE, SUITE 150A, BLOOMINGTON, IN 47403-4213
(812) 376-7246
(812) 314-5001
Mailing address
2920 MCINTIRE DRIVE, SUITE 150A, BLOOMINGTON, IN 47403-4213
(812) 376-7246
(812) 314-5001
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
IN
208VP0000X
Pain Medicine Physician
Primary
—
IN
363L00000X
Nurse Practitioner
—
IN
363LF0000X
Family Nurse Practitioner
—
IN
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us